Narrative therapy is a change oriented strategy or approach to therapy in which the client is encouraged to tell the story of a particular problem or event. While this in itself is a common practice in therapy, narrative therapy goes deeper into the story to explore the meaning prescribed to these events, and seeks to assist the client in understanding its affect on the present and potential future life and relationships with others. Narrative therapy can be considered change oriented as it allows the client to determine the direction and content discussed, the therapist only guides with questions that we don’t already have an answer to. Narrative therapy treats clients with respect and is careful not to place blame or shame upon …show more content…
A thin description allows little room for varying views and complexities, it does not accommodate contradictions, thus, obscuring other potential meanings. A thin conclusion is the result of connected thin descriptions and is often expressed as the “truth about a person”, the problem thereby becomes a person’s identity. As you can imagine, this could cause isolation, disconnection, and disempowerment. (Morgan,2002) Jill Freedman and Gene Combs described narrative therapy in practice in this way: “Narrative therapist are interested in working with people to bring forth and thicken stories that do not support or sustain problems. As people begin to inhabit and live out the alternative stories, the results are beyond solving problems. Within the new stories, people live out new self-images, new possibilities for relationships and new futures”. …show more content…
Education serves to empower the client and potentially their family (if participating), by providing knowledge about a particular topic. This knowledge can provide alternative coping strategies and a deeper understanding of their problem, illness, or situation. An important aspect of the psychoeducational approach is that it places more responsibility on the client to recognize triggers and symptoms and practice techniques learned for different outcomes. Psychoeducation has its roots in cognitive behavioral therapy (CBT), and you will find that many of the presented lessons are part of CBT. This approach places symptoms, responses, and thought processes in context and provides for processing of complex emotions. It helps clients develop new coping skills that can be practiced in a person’s everyday
Before Cognitive Behavior Therapy (CBT), several doctors depended on Behavior Therapy (BT) to treat clients of different populations with different disorders such as anxiety, depression, Posttraumatic Stress (PTSD), and numerous others (Corey, 2012, p. 247). Put that together with Albert Bandera’s social learning theory and CBT is born. CBT is but one facet of BT, but it remains one of the more conventional methods with psychologists today. The chief goal of CBT is to aid the client recognize that what they believe influences their behavior (Corey, 2012, 249).
Writing is generally referred to as being a hard to endure, long-lasting task, but my practice has changed and improved over the duration of this course. The choice to write these types of stories stemmed from my interactions with young women who had given up on life because they felt no cared about them or those who had become completely emotionless so that they wouldn’t be taken advantage of again. In a paper for Creative Research Journal, Charlotte Doyle writes, “Like other creative endeavours, the creative process in fiction writing is a voyage of discovery but differs from most other arts in one of its major modes of thoughts- narrative improvisation, a non-reflective mode that typically involves stances in a fiction world from viewpoints different from one’s own” (1998). The general advice given to writers is to write what they know; emotional abuse is something I know a little about from experience. Transferring that knowledge into a narrative that would appeal to readers in a way that would allow them empathize with those women was my
The theory that I chose to analyze in this paper is the constructivist approach with a dual use of both the Solution-Focused Therapy (SFT) and Narrative Therapy. In my worldview change happens when an individual is motivated to persist and accomplish their goals. In my own personal philosophy, I am optimistic that every student is capable of discovering a solution that best fits in solving their problem and that everything we do in life is interconnected to helping us accomplish our ideal goals. I plan to work with first generation college students after completing the Educational Counseling program at USC and see the Constructivist approach to best accommodate the needs of first generation college student population. I see every
Narrative theory is underpinned by ideas of postmodernism, which makes an assumption that truth is subjective and embedded in stories or experiences of individuals (Connolly & Harms, 2013). Therefore, social workers who incorporate this theory wants to understand the ‘truths’ or ‘problems’ that people have constructed about themselves, depending on the context of their own experiences (Payne, 2006). Constructing stories about themselves and their experiences are part of meaning-making process. Each person’s experience of depression is personal and unique to them (dep. org). Witnessing and listening to people’s stories and validating their experiences such as impact of oppression and grief is important for recovery and to reclaim their lives
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
"Cognitive Behavioral Therapy - Introduction - Wellsphere." Wellsphere - Health Knowledge Made Personal. 8 Sept. 2008. Web. 21 Feb. 2011. .
Narrative therapy was introduced to the family therapy field in the late 1980’s by therapists Michael White and David Epston (Matos et al. 2009, p.89). A philosophy of narrative therapy is that everyone has a story to tell which is bound by the socially constructed knowledge within their cultural setting, and this story can be better interpreted by contextualising it according to the individual’s language, social, political and cultural situation (Combs & Freedman 2012, p.1036; Etchison & Kleist 2000, p.61; Fernandez 2010, p.16). The narrative is then reduced to the theme which is determined as a problematic element within the story, and perceived internally as a dominating power (Mascher 2...
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.
Narrative reasoning focuses on the client’s particular circumstances and takes into account the client’s past, present, and future and how their current circumstances will affect their life. This gives the practitioner ideas on how to collaborate with the client and family based on the individual’s journey. It is important for the occupational therapy practitioner to help the client see how the treatment
The core concept of narrative therapy is rooted in postmodern theory. This includes having a positive and hopeful view of clients and their power to create change. Also, taking a “not-knowing” stance is essential in order to enhance collaboration between clients and therapist. Narrative Therapy encourages therapists to remain curious and acknowledge
Initially developed by Aaron Beck in the 1960s, Cognitive Behavioral Therapy (CBT) also referred to as Cognitive Therapy (CT) focuses on understanding a client’s behaviors and feelings through focusing on their underlying cognitions and thoughts (Weinrach, 1988, p.159). Aaron Beck believed that our thoughts impact our feelings and in order to change negative feelings, we must identify and modify our dysfunctional thoughts (Weinrach,1988). A client’s symptoms or dysfunctional behaviors do not take place due to a situation or their feelings. Instead, Beck explains that between the situations or events and the emotional responses and behaviors, a conscious stream of thoughts take place (Craske, 2010). CBT explains human nature with an anti-deterministic
Modern CBT has been influenced by two major therapeutic approaches: firstly, ‘Behaviour Therapy’ as developed by Wolpe and others in 1950s and 1960s; and secondly, ‘Cognitive Therapy’ which was developed by A.T. Beck in the 1960s. As defined by Emery & Tracy (1987), CBT is “a series of strategies that relieve psychological suffering by correcting distorted and maladaptive thinking. The therapy is based on a theory of psychopathology that recognises the reciprocal interrelationship among the cognitive, behavioural, somatic and emotional systems”. Although CBT is often referred to as a unitary treatment, it is actually a diverse collection of complex and subtle interventions that must each be mastered and understood from the social learning perspective (Reinecke, Dattilio, & Freeman, 2003).
This integrative approach focuses mainly on four approaches: psychoanalytic, Adlerian, cognitive behavioral therapy (CBT), and the postmodern approaches. The main focus is on CBT and how psychoanalytic, Adlerian and the postmodern approaches build on this integrative approach. In this integrative approach, the problem at hand is a client dealing with depression. I chose CBT as the main approach because the cognitive thought pattern is an important key for a client and CBT can branch out to other approaches, without interfering with the key concepts.
Narrative therapy is a form of Gestalt therapy because it focuses on the clients’ personal responsibility. Narrative therapy helps the client’ navigate their own issue and come up with solution that they will be able to honor and stick with. They are both a form of psychotherapy and